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发些帖子给懂英文的看看了4 M: _, u) A9 y7 p: d; x
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vesnaMay 16 2011, 01:30 PM+ ~# F) W% ~+ o5 p* p" W
Doctors please help me
$ T0 \/ F% t- A8 [) Q% `, ZI am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g
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I have immune issue elevated nk and elevated cytokine level.. n n7 }: n9 S, S
My first results BEFORE IVI-G( j. ~" ~% f9 S$ X/ H% b
NK 50:1= 24.5
) {8 b2 {/ u; v! aTNF ALFA =47.7
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' F* b- r2 g* N- L1.FIRST IVI-G2 ?2 r9 {6 s" ^$ g4 x
After IVI-g on 04/18/2011 my results are
- A9 @; D. H0 Y0 J7 iNK 50:1=14.8
; k! H' y7 P, y0 ]1 YTNF ALFA=37.9$ t- S J1 B% u" y6 u# P1 R; m: R* K
We were so happy because level dropped/ m! C/ _1 R! ~5 v
I had transfer on 04/25 and I get pregnant
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' w; c/ {! z* r. u# z9 X Y2.SECOND IVI-G
* ]0 z) {& x' m* C* C8 U: Y& e2 oOn 05/04/2011 I had one more IVI-g3 y; ^$ [8 U$ o& o+ F) k5 t. G; ^
Results from that infusion came today but elevated4 _5 Y# z0 ]; O4 ?$ q; C1 Q2 H! m& y
NK 50:1=31
" M. X8 p- }# J x% yTNF ALFA 49.5
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3.THIRD IVI-G after one week
7 s4 }4 g$ P; u+ L2 {9 f8 z1 W05/11/2011 results for couple of days9 ^- w. |/ N* @2 b- N' D
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Doctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor
- [0 K" y5 |! Y, _# L. lgave me aggressive IVI-g protocol.I don't have last blood results,they said for
% ]; j- m" K0 Q. l* X$ {8 Scouple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?
! e5 r& T! w+ [( q, }I am so scared,I am crying ,please tell me are they gonna kill my baby?0 t# y& O/ x9 _* ?/ {; A
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat3 m: \% h: P$ N5 o( n9 u
in Wednesday.; H& k9 M0 C1 U# f0 E+ x) Y2 [
I guess levels are little bit lower because I had the third ivi-g after only one
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Please help me do I have chance for this for baby" m, l8 n5 f2 A" c/ v2 e
vesna 1 m+ C1 R2 |2 ?8 c8 X
Geoffrey Sher, MDMay 16 2011, 04:39 PM- w' V+ I3 b( W! A( W1 X
Stay the course with the IVIG. Ignore the NKa as there is usually a lag in response anyway. I presume you are taking steroids too along with heparin./ Y! R2 y6 ?. B( S2 d5 Q% E2 d
" H E' }: m8 e7 w( |9 KHopefully all will be well. Please keep me in the loop.
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1 {3 N: p) ^; K2 H2 R4 NGeoff Sher ! j& V+ I1 V! d6 S
vesnaMay 16 2011, 04:46 PM- _+ j, u- b$ d
Thank you my dear Dr.Sher" N& Z6 ? Y+ j. p7 f
I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g 3 R$ L/ }& n/ ]# ]% D9 ?2 O2 `' `
I will know more in Wednesday./ o0 l& G1 B$ Z. T
Hug
: l2 t/ Q3 _6 @Vesna ( Z, l' u4 W* ^0 k
Geoffrey Sher, MDMay 16 2011, 07:57 PM
( q! d2 E+ f( g1 C& m. z+ uHow much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.
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Good luck!
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Geoff Sher 7 A+ w0 p: C' r4 ^( B. y& ?8 ]
vesnaMay 17 2011, 05:08 AM9 X% [/ p( F3 G ?" |) s( F
[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']
9 v [' k% H- j# a, _' a; bHow much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.
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+ w+ i1 Q) S. ]Good luck!) s; D, I! {0 J1 R& [
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Geoff Sher
+ a2 V* S3 Q* T O[/quote]2 p V& y, j# `) m( `
Dear doctor,
6 ^) y) L6 p4 zI am taking 400mg IVI-G.I am praying that last dose lowered my level.
+ `- c4 ~6 a6 V, l/ S: p* rTomorrow is big day for us
# {, c; P y( R4 ~4 ?+ fThank you for your answer and care % Z& e X7 \4 ?5 v* j4 A3 G
vesna
% S/ F$ z& v( O# _Geoffrey Sher, MDMay 17 2011, 10:27 AM
* b$ B1 r. ~9 ~( F7 @The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. 1 M, H5 G$ o4 n3 R3 V6 X3 `
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Geoff Sher
4 Q6 }4 Q: ~" d0 w. MvesnaMay 17 2011, 11:01 AM
, U8 C A; r& O: \1 |[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']" |1 t& S3 F7 d( Y8 p9 `# ]3 O
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate. 0 B! X9 N8 {7 L: T% z$ S3 H
1 ?8 O2 C0 |6 \* B5 W7 eGeoff Sher7 M p* }! {5 g8 k- \( c6 ]6 C
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8 ?5 k- U) Q5 N; n/ pThank you for you answer dear Dr.Sher( [( e- K8 `9 Z
Maybe ,I am wrong,I have to check tomorrow + K m* p8 n/ A) U. s
hugs* U/ ]) e2 h% x5 D7 o
vesna 5 P- S, {8 z: M0 ~- s$ y8 V5 N
Geoffrey Sher, MDMay 17 2011, 03:33 PM% V2 r3 ~! B3 g0 ]+ U; }0 p" a
I think you should!
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Geoff Sher |
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发表于 2011-6-9 16:34:45
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